Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $81.28 / $194.98	Facility		$41.69	$81.28	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $85.11	Professional		$41.69	$41.69	$85.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $56.23	Professional		$16.98	$16.98	$56.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $41.69 / $41.69	Facility		$25.12	$41.69	$41.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $67.61 / $151.36	Facility		$27.54	$67.61	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $56.23 / $204.17	Professional		$25.70	$56.23	$204.17
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $48.98 / $95.50	Facility		$41.69	$48.98	$95.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $81.28	Professional		$19.95	$25.12	$81.28
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $39.81 / $50.12	Professional		$25.12	$39.81	$50.12
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $38.90 / $131.83	Facility		$28.84	$38.90	$131.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $79.43 / $50,118.72	Facility		$41.69	$79.43	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $38.02 / $50.12	Facility		$25.12	$38.02	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $25.12 / $61.66	Professional		$17.78	$25.12	$61.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $30.20 / $50.12	Facility		$25.12	$30.20	$50.12
Univera Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $39.81 / $54.95	Professional		$25.12	$39.81	$54.95